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Contact: Lizzie Rich 01344 352253
Declarations of Interest
Members are asked to declare any disclosable pecuniary or affected interests in respect of any matter to be considered at this meeting.
Any Member with a Disclosable Pecuniary Interest in a matter should withdraw from the meeting when the matter is under consideration and should notify the Democratic Services Officer in attendance that they are withdrawing as they have such an interest. If the Disclosable Pecuniary Interest is not entered on the register of Members interests the Monitoring Officer must be notified of the interest within 28 days.
Any Member with an affected Interest in a matter must disclose the interest to the meeting. There is no requirement to withdraw from the meeting when the interest is only an affected interest, but the Monitoring Officer should be notified of the interest, if not previously notified of it, within 28 days of the meeting.
There were no Declarations of Interest.
Urgent Items of Business
Any other items which the chairman decides are urgent.
There were no Urgent Items of Business.
To approve as a correct record the minutes of the meeting of the Board held on 6 December 2018.
The minutes of the previous meetings held on 6 December 2019 were approved as a correct record and signed by the Chairman.
There were no matters arising.
NHS Long Term Plan and the local focus
Dr Andy Brooks, Accountable Officer for the East Berkshire and Surrey Heath CCG presented on the NHS Long Term plan and local focus.
Andy explained that while the NHS Long Term Plan was a centralised document for national use, there was opportunity to shape for local partnership focus.
Andy highlighted the following areas of consideration within the Plan: mental health, children’s health, and mental health associated with long term conditions. There was also focus on improving care for respiratory and cardiovascular diseases, and improving community based holistic care for patients discharged from hospital.
The Long Term Plan would be delivered through Primary Care Networks and integration with local services. It was recognised that the NHS workforce needed to be supported to achieve this. Better use of data and digital technology would be made to provide convenient access and allow for improvements in planning and delivery of services.
The next steps for the Long Term Plan would be to develop local five-year plans through the Integrated Care System.
Within East Berkshire CCG, Primary Care Network would be working to develop the following areas:
· social prescribing and the link between the health economy (physiotherapists, pharmacists, paramedics etc) and General Practice
· General Practice indemnity cost within the national scheme
· Quality improvement within communities
· Primary care networks between GP surgeries to allow for the provision of urgent care services from 8am to 8pm.
· Online prescriptions and consultations through digital technology
· 5 year funding clarity for GP practices to assist with workforce planning.
Primary Care Networks would be structured geographically, and each would have a named Clinical Director. Investment would be delivered through networks to encourage surgeries into alignment.
Andy explained the strategic priorities for East Berkshire CCG:
· Person – working alongside individuals to empower them to take control of their own health and wellbeing
· Place – working in local communities, local authority areas or across a bigger geography to respond to the needs of our population
· Engage – engaging with staff, member practices, local people and other stakeholders so that services are informed by their needs, views and behaviours
· Integrate – breaking down the barriers of traditional organisational boundaries to deliver effective and responsive services.
The Board thanked Andy for his presentation.
In response to questions, the following points were noted:
· Board members welcomed the enthusiasm to engage and integrate with partners, and recognised existing good relationships.
· The relationship between the Primary Care Networks and Brants Bridge urgent care centre was queried, and it was clarified that options around this matter were being considered.
· The mapping around the Health and Care Hubs and Primary Care Networks was currently underway, and the complexity of this was recognised. Board members encouraged discussions around this to take place at an early stage.
· Board members were keen to avoid any duplication between partners, including resources around smoking cessation.
· Board members encouraged early discussions around governance and decision-making, to ensure that governance was as streamlined as possible between the CCGs and Local Authority.
· Members welcomed the Long Term ... view the full minutes text for item 30.
Actions taken between meetings
Board members are asked to report any action taken between meetings of interest to the Board.
Phil Cook reported that Involve had been restructured at the end of 2018 to co-ordinate work across Bracknell and Wokingham. It was hoped that the new arrangement would enable Involve to work with more organisations on particular areas of support, particularly around encouraging social action and resilience. Phil agreed to deliver a presentation at a future Health and Wellbeing Board around the structure of the Voluntary and Community Sector. (Action: Phil Cook)
Tessa Lindfield explained that Bracknell Forest had re-joined the Berkshire Public Health arrangement on a temporary basis until this was confirmed through the Council’s governance structure. Cynthia Folarin had bene appointed as Interim Consultant in Public Health for Bracknell Forest.
Jonathan Picken reported that the Local Safeguarding Children’s Board had identified priorities for the year around safeguarding disabled children and safeguarding children online.
Jonathan also reported that the Board was reviewing the future arrangements for safeguarding and Serious Case Reviews, including Child Death Overview Panel (CDOP) arrangements locally.
Councillor Dale Birch reported that the Health and Wellbeing Alliance Board was reviewing its purpose to focus on communicating messaging across the system more effectively.
QUESTIONS: If you would like to ask a question you must arrive 15 minutes before the start of the meeting to provide the clerk with your name, address and the question you would like to ask. Alternatively, you can provide this information by email to the clerk at email@example.com at least two hours ahead of a meeting. The subject matter of questions must relate to an item on the Board’s agenda for that particular meeting. The clerk can provide advice on this where requested.
PETITIONS: A petition must be submitted a minimum of seven working days before a Board meeting and must be given to the clerk by this deadline. There must be a minimum of ten signatures for a petition to be submitted to the Board. The subject matter of a petition must be about something that is within the Board’s responsibilities. This includes matters of interest to the Board as a key stakeholder in improving the health and wellbeing of communities.
There were no items for public participation.
Agency updates were covered under previous items on the agenda.
Date of next meeting
13 June 2019, 2pm